Lateral Brow-Eyelid Contour After Traditional Blepharoplasty Versus Blepharoplasty With Brassiere Sutures Using Three-Dimensional Imaging.

IF 1.2 4区医学 Q3 OPHTHALMOLOGY Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-12-23 DOI:10.1097/IOP.0000000000002801

Marisa Novaes de Figueiredo Rassi, Bruna Veronese de Almeida, Roberto Murillo Limongi

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Abstract

Purpose: This study aims to compare the lateral brow-eyelid contour following traditional blepharoplasty versus blepharoplasty with brassiere sutures using 3D imaging.

Methods: This prospective, randomized, comparative, parallel-group trial involved 56 female patients with dermatochalasis. Patients with an odd number of letters in their first names underwent traditional upper blepharoplasty (group A), while the rest underwent blepharoplasty with orbicularis oculi muscle fixation (group B). All procedures were performed by a single surgeon. Postoperative 3D photographs were standardized in a three-quarter view and analyzed using textured overlays.

Results: In traditional blepharoplasty, 64.5% of patients exhibited flatter eyelid contours with shorter lower convexity. In contrast, the brassiere suture group showed increased convexity above and below the eyelid crease and increased tarsal platform show in 60% of patients.

Conclusion: The authors recommend preserving and repositioning fat in upper blepharoplasty for its safety and aesthetic benefits.

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利用三维成像技术对比传统眼睑成形术与胸罩缝合眼睑成形术后的侧眉眼睑轮廓。

目的：本研究旨在利用三维成像技术比较传统眼睑成形术与胸罩缝合眼睑成形术后的侧眉眼睑轮廓。方法：这项前瞻性、随机、比较、平行组试验纳入56例女性皮松弛症患者。名字中含有奇数字母的患者接受传统上睑成形术（A组），其余患者接受眼轮匝肌固定眼睑成形术（B组）。所有手术均由一名外科医生完成。术后3D照片在三/四视图中标准化，并使用纹理叠加进行分析。结果：在传统睑缘整形术中，64.5%的患者眼睑轮廓较平，下凸较短。与此相反，胸罩缝合组60%的患者出现睑沟上下凸度增加和睑台增高。结论：作者推荐在上睑成形术中保留和重新定位脂肪，以提高其安全性和美观性。

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来源期刊

Ophthalmic Plastic and Reconstructive Surgery 医学-外科

CiteScore

2.50

自引率

10.00%

发文量

322

审稿时长

3-8 weeks

期刊介绍： Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.